Disruptive Technology and Medical Education · Disruptive Technology and Medical Education December 11, 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai M.D., Ph.D. Director, Institute

Disruptive Technology and

Medical Education

December 11, 2019

Assoc.Prof.Dr. Chailerd Pichitpornchai

M.D., Ph.D.

Director, Institute for Innovative Learning

Mahidol University

il.mahidol.ac.thhttps://geardo.com.au/Xiaomi-MI-Band-3

http://www.ps.si.mahidol.ac.th/

H.R.H. Prince Mahidol of Songkla

True success is not in the learning,

but in its application

to the benefit of mankind.

2Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University

孫武 Sūn Wǔ

รเขา รเรา รบรอยครง …

One who knows the enemy and knows himself will not be in danger in a hundred battles.

知己知彼，百战不殆.

Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University3

Topics…

Medical Education

Disruptive Technology


System Concept & Physiology

Input Process Output

Feedback

Afferents System Efferents

Feedback

Stimuli Response

5

Environment

Environment


Input Process Output

1. Eye2. Ear

3. Nose

4. Tongue

5. Skin


Output/Outcome Feedback

http://neurowiki2013.wikidot.com/group:music-and-the-brain

1. Muscles Skeletal m.

Smooth m.

Heart m.

2. Glands: Endocrine & Exocrine

3. Emotion & Feeling

4. Thinking, Learning & Memory

5. Forgetfulness & Sleep


What is “Education”?

CP: The processes by which the learner

1. Input : Data/Information/Knowledgevia sensory perceptions to the brain for processing (recognition, thinking, analyzing, synthesizing, etc.)

2. Practicing via motor system and

3. Controlled and monitored by brain & mind(awareness, mindfulness, and wisdom) applying for the benefit of mankind

Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University

https://il.mahidol.ac.th/th/i-Learning-Clinic/general-articles/นวตกรรมการเรยนรคอ/

I

P

O

P & F

Outcome

8

Medical Education

Education related to the practice of being a medical practitioner

A medical doctor is required to be able to

Learn with 21st Century Skills

Communicate (languages, self & interpersonal relationship)

Take history & perform physical examination

Provide appropriate investigations, correct diagnosis, skilled treatment, advice and consultation; with great attitude, morale & ethics


Disruptive Technology

1. Network & Hardware

2. Software


1. Network & Hardware

SpaceX’s Starlink Broadband Satellite

1.1 5G Technology

1.2 Internet of Things (IoT)

1.3 Sensors

1.4 Biometric Sensors

1.5 Actuators / Robotics


12

1.1 5G Technology

Speed : Gbps

Frequency : 50-100 MHz

Ultralow latency : 1-10 ms

Equipment handling: 1 mil/sq.km.or 1 equipment/sq.m

Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University

1.2 Internet of Things (IoT)

https://en.wikipedia.org/wiki/Internet_of_things


Sensors

Internet & Electronic Connectivity

Remotely controlledand monitored

Actuator / Robots

I

P

O

P & F

1.3 Sensors

Analog Sensor

Digital Sensor


https://www.codrey.com/electronics/different-types-of-sensors/

1.3 Sensors (2)

Temperature sensor

Wind speed / Direction sensor

Solar radiation sensor

Humidity sensor

Light sensor

Rainfall / Water level sensor

Biometrics sensor


1.4 Biometric Sensors

Fingerprint Scanner

Face Recognition

Iris Recognition

Eye Tracking System

Health Wristband

Smart Phone


https://geardo.com.au/Xiaomi-MI-Band-3


Input Process Output…

Output/Outcome Feedback


http://neurowiki2013.wikidot.com/group:music-and-the-brain

1. Muscles

Skeletal m.

Smooth m.

Heart m.

2. Feeling & Emotion

3. Learning & Memory

4. Wisdom

- Forgetfulness, Sleep

1.4.1 Health Wristband

Health Monitoring สายรดขอมอเพอสขภาพ Heart rate

Step counter

Deep sleep

Body weight recorder

Goal setting


https://www.trustedreviews.com/reviews/xiaomi-mi-band-3

1.4.1 Health Wristband (2)

Health Wristband Bluetooth Smart Phone Clinic or Health Center Healthcare Advice


1.4.2 Emotiv Insight


http://issue247.com/products/emotiv-insight/

1.4.2 Emotiv Insight (2)


Electroencephalogram (EEG)

5 channels

Wireless SmartPhone

Used for developing stabilized emotion, decision making, attention, mindfulness

Used for relaxation & stress reduction


1.4.3 MYO Armband for PT

A case study using gesture recognition application


https://www.semanticscholar.org/paper/MYO-Armband-for-physiotherapy-healthcare%3A-A-case-Sathiyanarayanan-Rajan/cbeb9717da6a3eb3d85a17897422591f1b25bfd9

1.4.4 Med. & Biomed. Engineering

Diagnosis & Treatment Suggestions

More accurate, timely

IBM Dr. Watson, Pathological Dx

Remote robotic surgery

Shorten travelling time

Microsurgery

Less hospitalization & Smaller wound

Brain-Computer Interface (BCI)

Sensory systems & Motor


1.4.4.1 Sensory - Vision

Artificial Retina,Bionic Eye


http://sites.ieee.org/futuredirections/files/2018/09/graphene-artificial-retina-blind.jpghttps://cdn.the-scientist.com/assets/articleNo/36747/iImg/15580/dc314ced-4ba6-490d-bf6c-e5e470c26cd5-bioniceye.jpg

1.4.4.2 Sensory - Hearing

Artificial Cochlear


https://www.cochlear.com/au/home/understand/hearing-and-hl/hl-treatments/cochlear-implanthttps://businessherald.co/wp-content/uploads/2019/03/Artificial-Cochlea-1.jpg

1.4.4.2 Sensory - Hearing (2)

Mobile ultrasound scanner


https://news.siamphone.com/news-26321.html

1.4.4.3 Sensory - Smell

Electronic Nose (e-Nose)


https://en.wikipedia.org/wiki/Electronic_nosehttps://readyforai.com/article/imitating-the-human-olfactory-system-to-make-ai-smarter/

1.4.4.4 Sensory - Taste

E-Tongue

Artificial Taste Sensors


https://lsre-lcm.fe.up.pt/projects/54

1.4.4.5 Sensory - Touch

Robotic Touch Sensing


https://www.nrl.navy.mil/itd/aic/content/robotic-touch-sensing-manipulation-and-fault-detectionhttps://www.cbsnews.com/news/scientists-develop-artificial-skin-that-can-feel-rain-and-the-touch-of-a-hand/

1.4.4.6 Output from Brain to Computer



https://transhumanistlibrarian.files.wordpress.com/2013/11/coevolution_brain_machine_interface.jpg

1.5 Actuators / Robotics


From brain, nerve, or muscle’s electrical activities Robots or Actuators

Exoskeletons

Artificial limbs (hand/arm/leg)

Robot-Assisted Surgery: Human control

Da Vinci Surgical Robots

Sensors Cloud Computing Robots


1.5.1 Artificial arm & hand


https://www.economist.com/sites/default/files/images/print-edition/20141011_STP002_0.jpg

1.5.2 Exoskeleton


https://ai2-s2-public.s3.amazonaws.com/figures/2017-08-08/8ee956157d572ae89fda4149bda63dd22b74dacc/2-Figure1-1.png

1.5.3 Da Vinci Surgical System


https://robocatz.com/daVinci-surgical.htm

1.5.4 3D Bio-Printing

3D Organ Printing


https://www.slideshare.net/Drimran13/3d-organ-printing-technology

2. Software

Speech-To-Text (STT)

Voice Recognition

Identification (ID)

Voice type, Voice search

Natural Language Parser AI

Sound Recognition: Heart sound, Breath sound

Text-To-Speech (TTS)

Listening to texts (e-books, e-journal, e-doc.)


2. Software (2)

Pattern Recognition

Anatomy: Histology, Blood smear

Electrophysiology: EEG, ECG, EMG

Gait recognition

Artificial Intelligence (AI)

IBM’s Dr.Watson, Machine learning

Augmented Reality (AR)

Brain-Machine Interface (BMI)


2. Software (3)

Online Learning Aids

Massive Open Online Course (MOOC)

EdX, MUx

Coursera

Udemy

Khan Academy

YouTube


2. Software (4)

Data Analytics

Big Data

Cyber security


1. What is the future effect of disruptive technology in MedEd ?

Overwhelming of Data, Information, and Knowledge over the Internet

Q1. How to input these DIK into the brain quickly and efficiently?

Answer:

ICT & Language Literacy

Speed reading/listening

Speed note taking

Contemplative Education


1. What is the future effect of disruptive technology in MedEd ? (2)

Q2. How to organize these DIK into an efficient and retrievable database?

Answer:

Learn to strategic search, sort,

categorize (metadata, tag)

Learn to take note: text, voice, graphics

Learn to use appropriate tools(HHD, Tablet, Pen computing)



Q3. How much of these DIK is needed to be remembered in our own memory?

Answer:

Learn how to learn

Learn to prioritize DIK minimize

dataset needed to be memorized Learn to recall, apply, and create



Q4. What will the medical care be?

Answer:

Electronic Medical Record (EMR) Electronic Health Record (EHR) Telehealth, Telemedicine

Legal & ethical aspects


2. Which disruptive technology will be the first coming change in MedEd, and why?

HHD + 5G + IoT, AI/AR, TTS, STT

Mobile Ultrasound Scanner

Image, Voice & Sound Recognition

Self-pace learning: Online/Adaptive Learning


2. Which disruptive technology will be the first coming change in MedEd, and why? (2)

Overwhelming of DIK limited with slow input to the brain with low capacity of human memory

Machine dependence

No NW, No HHD, No Energy No Memory


3. How would med school/teacher prepare for disruptive technology?

Learn ICT Literacy & Languages

Identify minimal dataset for memorizing

Cyber Security

Medical Morale & Ethics

Learn how to Teach & Learn

Brain-Based Learning (BBL)

https://il.mahidol.ac.th (27-28 Jan 2020)


https://il.mahidol.ac.th/


https://il.mahidol.ac.th/th/il-shortcourse-brain-based-learning-3/

https://il.mahidol.ac.th/th/il-shortcourse-brain-based-learning-3/

Q&A and Challenges

Questions & Answers

千里之行，始于足下

A journey of a thousand milesbegins with a single step

หนทางไกลนบหมนล ตองเรมตนทกาวแรก


51

About the speaker

Assoc.Prof.Dr. Chailerd PichitpornchaiM.D., Ph.D.

1. Director, Institute for Innovative Learning

2. Dept. of Physiology, Fac. of Medicine Siriraj Hospital

Mahidol University

Mobile: 086-363-1539

Email: [email protected]

[email protected]

Web: https://il.mahidol.ac.th

https://il.mahidol.ac.th/

Documents

Disruptive Technology and Medical Education · Disruptive Technology and Medical Education December 11, 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai M.D., Ph.D. Director, Institute